Number of adults in your household:
Ages of children in your household:
May we contact you in the future to check on the welfare of your new pet? Yes No
Personal Reference
Name
Telephone:
Best time to call:
Relationship:
Parent
Sibling
Co-worker
Relative Other
Residential Information
Do you live in a
house
apartment other ?
Do you
own rent ?
If you rent, please provide landlord's phone number:
Do you have landlord's permission to keep a cat?
Yes
No
Do you have a doggie door?
Yes
No
Do you have a fence?
Yes
No If yes, how tall is the fence?
Pet Information
Do you own other cats?
Yes
No If yes, are they spayed or neutered?
Yes
No
Are they indoors only?
Yes
No
Are they up-to-date on rabies/distemper vaccines?
Yes
No
How do you feel about declawing?
Absolutely necessary
Only if cat is destructive
Only as a last resort
Completely opposed to it
How many other cats have you owned in the past 5 years?
If you no longer have the previous cats, what happened to them? Please be specific!
Do you have other pets?
Yes
No How many?
Type of pets?
How do they react to cats?
Reason for wanting a cat?
Veterinary Information
Do you have a regular veterinarian?
Yes
No
Veterinarian's name:
Clinic name:
Telephone:
If you do not have a regular veterinarian, please explain why.
The Maine Coon/Mix Cat You Desire
Name of cat applied for:
or Desired age:
Desired sex:
Are you willing to adopt any of the following? (Indicate all that apply)
Declawed cat
Shy cat
Cat that needs medication
Where will the cat spend the day?
Where will the cat spend the night?
Average number of hours per day the cat will spend alone:
Who will have primary responsibility for the cat's daily care?
